Beijing, 30 Dec (Jiefangjun Bao) -- The National Health Commission and 10 other departments recently jointly issued the "Guiding Opinions on Comprehensively Promoting the Construction of a Close-knit County-level Medical and Health Community," putting forward 20 key tasks and requirements from five aspects, emphasizing that cities should lead rural areas, townships should lead villages, counties and townships should be integrated, and rural areas should be integrated to vigorously improve the capacity of primary medical and health services. By the end of 2027, the close-knit county-level medical community will basically achieve full coverage.
Promoting the construction of county-level medical community is a powerful starting point for promoting the construction of a healthy China and a hierarchical diagnosis and treatment system. In recent years, China's medical and health service capacity has been improved as a whole, and the level of public health security has been continuously improved, but there is still a gap between the ability of primary medical services in some areas and the expectations of the masses to be able to "see a good disease" nearby.
The Guiding Opinions propose that according to the geographical location, the population served, and the layout of existing medical and health institutions, a county-level medical community should be established led by county-level hospitals and composed of several other county-level medical and health institutions, township health centers, and community health service centers. There is no "one-size-fits-all" approach to the number of formations, leaving a large space for local autonomy. The lead hospital is generally a non-profit general hospital or a traditional Chinese medicine hospital above the second level. Encourage and guide social forces to run medical institutions to join the county-level medical community.
The Guiding Opinions put forward specific requirements for improving the overall service capacity of county-level medical communities from five aspects: promoting the sharing of resources and services, improving the ability of major epidemic response and medical emergency response, expanding the contracted service of family doctors, innovating the integration of medical and prevention services, and improving the service capacity of traditional Chinese medicine. Among them, it is required to coordinate the establishment of five resource sharing centers in the county, including medical examination, medical imaging, electrocardiogram diagnosis, pathological diagnosis, and disinfection, and coordinate the establishment of five major clinical service centers in the county, including tumor prevention and treatment, chronic disease management, minimally invasive intervention, anesthesia and pain diagnosis and treatment, and intensive care.
According to the guiding opinions, the second ** hospital should improve the service capacity and management level of the county-level medical community through expert dispatch, specialist co-construction, and clinical teaching. The leading hospital should send clinical and management personnel to the township (street) all year round to help solve grassroots problems and carry out itinerant medical treatment for the countryside. Qualified public village clinics will be gradually converted into village-level medical service points extended by township health centers, and unified management of administration, personnel, business, drugs, finance, and performance will be implemented.
The guiding opinions require that by the end of June 2024, the construction of a close-knit county-level medical community will be comprehensively promoted at the provincial level, and by the end of 2025, more than 90% of the counties (cities) in the country will be basically built into a close-knit county-level medical community with reasonable layout, unified management of people, property and property, clear rights and responsibilities, efficient operation, division of labor and cooperation, continuous services, and information sharing.
*: Bright**).